Open AccessRedo mitral valve replacement through minithoracotomy on ventricular fibrillation: Bailout for a nightmare Redo
Author(s) -
Monteiro João Pedro,
Costa Sara Simões,
Paulo Nelson Santos,
Pereira Rodolfo
Publication year - 2021
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.3384
Subject(s) - medicine , cardiology , right coronary artery , mitral valve replacement , artery , mitral regurgitation , ascending aorta , mitral valve repair , pulmonary artery , mitral valve , aorta , myocardial infarction , coronary angiography
A 56‐year‐old woman entered the emergency department due to worsening dyspnea. Severe mitral regurgitation and pulmonary artery dilation with flow compatible with fistula were observed by transthoracic and transesophageal echocardiography. The patient had history of an ALCAPA (anomalous left coronary artery from pulmonary artery) syndrome having undergone coronary artery bypass grafting (saphenous venous graft to left anterior descending artery) 30 years before. Coronary angiography and computed tomography revealed patency of the graft, with the dilated vein running across the front of the ascending aorta and being responsible for the perfusion of the left anterior descending artery and circumflex artery. We resent this case for discussion of which surgical strategy/options are available in order to treat the mitral valve and avoid injuring the patent graft.